Revolutionary War Pension and Bounty Land Warrant Application File S. 30,407, Thomas Faris, Va.

SERVICE
Va.
Jaris, Thomas
NUMBER
S 30.407
CONTENTS

(1923) Kentucky
Thomas Farris
of Madison Co in the State of Kent who was a pr in the co commanded by Captain Gillard of the regt commanded by Col Clark in the 1 a line for 9 mths
Inscribed on the Roll of Kent at the rate of 30 Dollars 00 Cents per annum, to commence on the 4th day of March, 1831.
Certificate of Pension issued the 17 day of Augt 1833 and Alexander Miller Silverbrook
Arrears to the 1 st of March  60.00 Semi-ann. allowance ending Sept  15.00 75.00
{ Revolutionary Claim; Act June 7, 1832. }
Recorded by
J. Boyd
Clerk,
Book
E
Vol.
7
Page
9

See letter 21 March 1833 to Rev. J. Love,

State of Kentucky } 88 County of Madison
I have a record of my age but it was destroyed by the British
On this 27th day of May 1933 personally appeared in open court before the county court of Madison now sitting Thomas Davis a resident of the county aforesaid aged Seventy Seven years who being first duly sworn as the law directs doth on his oath make the following declaration in order to obtain the benefit of the act of congress passed June the 7th 1832 that he was born 15th Sept 1756 Pittsylvania County Virginia that enlisted as a private soldier early in the year 1775 under captain Thomas Sillard in Pittsylvania County Virginia I was to serve three months as a guard to the then Fort & inhabitants of Boonesborough Ky that we were marched by S d Sillard to Ky & I served one time nearly out when we were ordered to march to the falls of Ohio to join Col. Clark since said Clark that the day we joined said Clark our term of service expired for which we insisted on our capt o being discharged but that it was this applicants wish to have returned home but Col. Clark by persuasion & promise induced in persuading this applicant to go with him to chastise the Illinois Indians & a governor named I think Tochablaw who he said was a great leader of the Miamies on our frontier that after spending some weeks in repairing boats we went by water down the Ohio & up I think the Wabash for some distance then we marched by land carried each of us I think five days provision on our backs that we were out of everything to eat for near three days except Sopapark buds & such like food that we saw plenty of game but dared to shoot for fear of alarming the enemy that the day before we arrived at the principle settlement called Kaskaskia this applicant was ahead as a spy & discovered two men of which circumstance he gave notice to the command - Col. Clark who had the men surrounded & taken with game such information that enabled Clark to march us to the town about mid night I believe the same day that before we made the attack this applicant was selected as one of twenty two to surround & take the fort of place in which the governor resided & to take him dead or alive that

we did surround his house & break open the doors & take the Governor with the small guard we found there that the remainder of Clark's army completely surprised the Town secured their arms & the most prominent inhabitants that we were in Kentucky for several weeks during which time the inhabitants swore allegiance to the American State government that this applicant was very sick with the ague & fever while there & when Col. Clark returned to the Falls with the Army & prisoners amongst which was the Governor this applicant returned with them & recd. a discharge from Col. Clark at the Falls. that he was in a weak debilitated state of health & returned slowly to his Father's in Pennsylvania via resting resting at Harrodsburg & the crab orchard etc. that on his return home he is confident that he was nine months absent from home left home under Captain Dillard until his return home & in the service of the country as above, and for such service he claims a pension he does not now recollect whether it was by the order of the Governor of Virginia or by Congress that Captain Dillard recruited his men but believes from what Col. Clark said it was part of their duty to aid him in his Expedition as above that he is not able nor ever was to read or write that he may be long in the year he was marched to Kentucky & Kentucky but the facts & circumstances he has related he knows must in part, be matters of historical fact. that in after years after the close of the Revolutionary war he removed to Madison County Kentucky where he has resided ever since that he has no documentary evidence to show having long since lost his discharge from Clark & does not know of any living testimony to substantiate his claim or service & has to rely upon his oath & the affirmation of his neighbors as to his credibility and as to his reported service, that he is known to the Rev. Peter Noble and Jefferson Payton who can so testify - he hereby relinquishes every claim what ever to a pension or annuity except the present and declares that his name is not on the pension roll of the agency of any State Sworn to & subscribed the day & year aforesaid.
Thomas Harris Mark

we the acting magistrates of the County Court Madison now sitting do hereby certify that the foregoing contains the original proceedings of the said court in the matter of the application of Thomas Harris for a pension. In testimony whereof we have hereunto set our hands and seal of office this 27th day of May 1833
Jerry D. Bryant Christopher Harris Chas L. Fox
we Peter Tible a clergyman and residing in the County of Madison and Yelverton Payton  John Speed Smith residing in the same do hereby certify that we are well acquainted with Thomas Harris who has subscribed & sworn to the above declaration that we believe him to be seventy seven years of age that he is reputed & believed in the neighborhood where he resides to have been a soldier of the Revolution and that we concur in that opinion
Sworn & subscribed the day & year aforesaid
Peter Tible his Yelverton Payton Mark
And the court do hereby declare their opinion after the investigation of the matter and after proving the interrogatories prescribed by the war department that the above applicant was a revolutionary soldier & served as he states
And the court further states that it appears to them that Peter Tible who has signed the preceding certificate is a clergyman resident in the County of Madison and that Yelverton Payton  John Speed Smith who has also signed the same is also a resident of Madison County & is a creditable person & that their statement is entitled to credit
Jerry D. Bryant Christopher Harris Chas L. Fox
I David Irvine clerk of the County Court of Madison do hereby certify that the foregoing contains the original proceedings of the said court in the matter of the application of Thomas Harris for a pension
In testimony whereof I have hereunto set my hand and seal of office this 27th day of May 1833. David Irvine Clerk

22986 No 5 Paris Baptist Geo 1781 private 9 months #30
Dillard Clark Va
Alex Miller Silver Creek P.O.
J Speed Smith Richmond R

WAR DEPARTMENT,
Pension Office,
April 15 th 1833
Sir:
The evidence in support of your claim, under the act of June 7, 1832, has been examined, and the papers are herewith returned. The following is a statement of your case in a tabular form. On comparing these papers with the following rules, and the subjjoined notes, you will readily perceive that objections exist, which must be removed, before a pension can be allowed. The notes and the regulations will shew what is necessary to be done. Those points to which your attention is more particularly directed, you will find marked in the margin with a brace, (thus: { ). You will, when you return your papers to this Department, send this printed letter with them; and you will, by complying with this request, greatly facilitate the investigation of your claim.
A Statement, shewing the Service of Thomas Harris, Madison Co. Ky.
   Period when the service was rendered Duration of the claimant's service. Rank of the claimant. Names and Rank of the Company officers under whom he served. Names and Rank of the General and Field officers. Battles in which the applicant was engaged. Country through which he marched. Place of abode when he entered the service, and age at the present period. Evidence by which the declaration is supported.   Years. Months. Days.     Vol. just before surrender of C.W. - 6 - for not used not used none Va 75 Pitts, Virginia Tradg.   50th after this not used not used not used " Capt Dillard Genl Clark " "   "At least 18 mos in all!"  
I am, respectfully,
Your obedient servant,
J. L. EDWARDS,
Commissioner of Pensions.

REGULATIONS UNDER THE ACT OF JUNE 7, 1832.
The following regulations have been adopted:
This law has been construed to extend, as well to the line, as to every branch of the Staff of the Army, and to include under the terms "Continental Line," "State troops," "militia," and "volunteers," all persons enlisted, drafted, or who volunteered and who were bound to military service, but not those who were occasionally employed with the army upon civil contracts, such as Clerks to Commissaries and to Store Keepers, &c. Teamsters, Boatmen, &c. Persons who served on board of Private Armed Vessels are also excluded from the benefits of the law, as well as persons who turned out as patrols, or were engaged in guarding particular places at night, and were not recognized as being in actual military service.
Four general classes of cases are embraced in this law:
 1. The Regular Troops.  2. The State Troops, Militia, and Volunteers.  3. Persons employed in the Naval service.  4. Indian Spies. 
As rolls of the regular troops in the Revolutionary War exist in this Department, all persons, claiming the benefit of this law as officers, non-commissioned officers, musicians or privates, will in the first instance, make application by transmitting the following declaration, which will be made before a Court of Record of the County where such applicant resides. And every Court having by law a seal and Clerk is considered a Court of Record.
DECLARATION,
In order to obtain the benefit of the Act of Congress of the 7th of June, 1832.
State, Territory, or District of } ss. County of }
On this _____ day of _____ personally appeared (a) before A. B. a resident (b) of _____ in the county of _____ and State, Territory or District of _____ aged (c) _____ years, who being first duly sworn, according to law, doth on his oath make the following declaration, in order to obtain the benefit of the provision made by the act of Congress, passed June 7th, 1832. That he enlisted in the Army of the United States in the year (d) _____, with _____ and served in the _____ (e) regiment of the _____ line, under the following named officers:
[Here set forth the names and rank of the Field and Company Officers; the time he left the service; (and if he served under more than one term of enlistment, he must specify the particular period, and rank and names of his officers;) the town or county and State in which he resided when he entered the service; the battles, if any, in which he was engaged, and the country through which he marched. [This form is to be varied so as to apply to the cases of officers and persons who belonged to the militia, volunteers, navy, &c.]
He hereby relinquishes every claim (f) whatever to a pension or an annuity, except the present, and he declares that his name is not on the Pension Roll of any Agency in any State, or (if any) only on that of the Agency in the State of _____
Sworn to and subscribed the day and year aforesaid.
A. B.
[And then will follow the certificate of the Court.]
And the said Court do hereby declare their opinion (g) that the above named applicant was a revolutionary soldier, and served as he states.
I, _____ of the Court of _____ do hereby certify (h) that the foregoing contains the original proceedings of the said Court in the matter of the application of _____ for a pension.
In testimony whereof I have hereunto set my hand and seal of office (i) this day of _____ &c.
If, on examination of the proper record the names of applicants, making such declaration, cannot be found, they will produce such proof as the rule given in note (j) points out.
Every applicant who claims a pension by virtue of service in the State Troops, Volunteers or Militia, except those who belonged to the New Hampshire Militia and State Troops of Virginia, will make and subscribe a declaration similar to the foregoing, with the following additions, viz:
(k) We, A. B., a Clergyman, residing in the _____ and C. D. residing in (the same) _____ hereby certify, that we are well acquainted with _____, who has subscribed and sworn to the above declaration; that we believe him to be _____ years of age; that he is reputed and believed, in the neighborhood where he resides, to have been a soldier of the Revolution, and that we concur in that opinion.
Sworn and subscribed the day and year aforesaid.
[And then will follow the certificate of the Court.]
And the said Court do hereby declare their opinion, after the investigation of the matter, and after putting the interrogatories prescribed by the War Department, that the above named applicant was a Revolutionary Soldier, and served as he states. And the Court further certifies, that it appears to them that A. B.
who has signed the preceding certificate is a clergyman, resident in the _____ and that C. D., who has also signed the same is a resident in the _____ and is a credible person, and that their statement is entitled to credit.
I, _____ Clerk of the Court of _____ do hereby certify that the foregoing contains the original proceedings of the said Court, in the matter of the application of _____ for a pension.
In testimony whereof, I have hereunto set my hand and seal of office, this _____ day of _____ &c.
Every applicant will produce the best proof in his power. This is the original discharge or commission; but if neither of these can be obtained, the party will so state under oath, and will then procure, if possible, the testimony of at least one credible witness, stating in detail his personal knowledge of the services of the applicant, and such circumstances connected therewith, as may have a tendency to throw light upon the transaction.
If such surviving witness cannot be found, the applicant will so state in his declaration (l) and he will also, whether he produce such evidence or not, proceed to relate all the material facts, which can be useful in the investigation of his claim, and in the comparison of his narrative with the events of the period of his alleged service, as they are known at the Department. A very full account of the services of each person.

will be indispensable to a favorable action upon his case. The facts stated will afford one of the principal means of corroborating the declaration of the applicant, if true, or of detecting the imposition, if one be attempted; and unless, therefore, these are amply and clearly set forth, no favorable decision can be expected. All applicants will appear before some Court of Record in the County, in which they reside, and there subscribe and be sworn to, one of the declarations above provided, according to the nature of his case.
The Court will propound the following (m) interrogatories to all applicants for a pension, on account of service in the Militia, State troops, or Volunteers, except the Militia of New Hampshire and the State troops of Virginia.
 1. Where and in what year were you born?  2. Have you any record of your age, and if so, where is it?  3. Where were you living when called into service; where have you lived since the Revolutionary war, and where do you now live?  4. How were you called into service; were you drafted, did you volunteer, or were you a substitute? And if a substitute, for whom?  5. State the names of some of the Regular Officers, who were with the troops, where you served; such Continental and Militia Regiments as you can recollect, and the general circumstances of your services. 
6. { To a Soldier. } Did you ever receive a discharge from the service, and if so, by whom was it given and what has become of it? { To an Officer. } Did you ever receive a commission, and if so, by whom was it signed, and what has become of it?
7. State the names of persons to whom you are known in your present neighborhood, and who can testify as to your character for veracity, and their belief of your services as a soldier of the Revolution.
The Court will see that he answers to these questions are embodied in the declaration, and they are requested to annex their opinions of the truth of the statement of the applicant.
The applicant will further produce in Court, if the same can be done, in the opinion of the Court, without too much expense and inconvenience to him, two respectable persons -one of whom should be the nearest clergyman, if one lives in the immediate vicinity of such applicant, who can testify, from their acquaintance with him, that they believe he is of the age he represents, and that he is reputed and believed in the neighborhood to have been a Revolutionary soldier, and that they concur in that opinion. If one of these persons is a Clergyman, the Court will so certify, and they will also certify, to the character and standing of other persons, giving such certificates.
The traditional evidence of service is deemed very important, in the absence of any direct proof, except the declaration of the party. And the Courts are requested to be very particular in the enquiry whether the belief is general, and whether any doubts have ever existed upon the subject.
Applicants unable to appear in Court by reason of bodily infirmity, may make the declaration before required, and submit to the examination, before a Judge or Justice of a Court of Record of the proper county, and the Judge or Justice will execute the duties, which the Court is herein requested to perform, and will also certify that the applicant cannot, from bodily infirmity, attend the Court.
Whenever any official act is required to be done by a Judge or Justice of a Court of Record, or by a Justice of the peace, the certificate of the Secretary of State or Territory, or of his Clerk of the Court or County, under his seal of office, will be annexed, stating that such person is Judge or Justice of a Court of Record, or a Justice of the Peace, and that the signature annexed is his genuine signature.
No payments can be made on account of the services of any person, who may have died before the taking effect of the act of June 7, 1832; and in case of death subsequent thereto, and before the declaration herein required is made, the parties interested will transmit such evidence as they can procure, taken and authenticated before a Court of Record, showing the services of the deceased, the period of his death, the opinion of the neighborhood respecting such services, the title of the claimant, and the opinion of the Court upon the whole matter.
[a] The declarant must appear in open Court, unless prevented from doing so by reason of bodily infirmity; in which case the declarant will follow the rule laid down for his guidance.
[b] The declarant must make his declaration in the county where he resides. If he should fail to do so, he must assign a sufficient reason for not conforming to the rule.
[c] The age of the claimant must invariably be mentioned.
[d] The declarant must mention the period or periods of the war when he served.
[e] Every continental officer or soldier must give the name of the Colonel under whom he served; otherwise a satisfactory examination of the claim cannot be had. Every claimant must state, with precision, the length of his service, and the different grades in which he served, in language so definite as to enable the Department to determine to what amount of pension he is entitled. In a case where the applicant cannot, by reason of the loss of memory, state precisely how long he served, he should amend his declaration by making an affidavit in the following words:
"Personally appeared before me, the undersigned, a Justice of the Peace, &c. A. B. who, being duly sworn, deposeth and saith, that, by reason of old age, and the consequent loss of memory, he cannot swear positively as to the precise length of his service; but, according to the best of his recollection, he served not less than the periods mentioned below, and in the following grades:—For _____ year _____ months, and _____ days, I served as a _____. For _____ months and _____ days, I served as a _____; and for such service I claim a pension."
It is important, in all cases, to determine with precision the period for which each applicant served, and the particular rank he held, as the law directs the pension to be paid according to the grade of the pensioner and the length of his service. The use of the phrase about three or four months , is too indefinite, and all such qualifying expressions are objectionable. Some persons who apply for pensions merely state that they served two years in the militia, &c. without specifying the tours, the names of the officers, and other particulars respecting their service. This form of a declaration is highly objectionable. It must, in every case, be clearly shown under what officers the applicant served; the duration of each term of engagement; the particular place or places where the service was performed; that the applicant served with an embodied corps called into service by competent authority; that he was either in the field or in garrison; and for the time during which the service was performed, he was not employed in any civil pursuit.
[f] The law makes the relinquishment indispensable.
[g] The opinion of the Court is always required.
[h] The Clerk must give his certificate in every case.
[i] The Clerk must affix his seal, and if it has no device or inscription by which it can be distinguished from any other seal, or if he has no public seal of office, the certificate of a Member of Congress, proving the official character and signature of the certifying officer, should accompany the papers.
Mode of authenticating papers.
In every instance where the certificate of the certifying officer who authenticates the papers is not written on the same sheet of paper which contains the affidavit, or other papers authenticated, the certificate must be attached thereto by a piece of tape or narrow ribbon, the ends of which must pass under the seal of office of the certifying officer, so as to prevent any paper from being improperly attached to the certificate.
Proof of Service.
[j] In a case where the name of the applicant is not found on the records of the Department, he must prove his service by two credible witnesses, who are required to set forth in their affidavits the time of the claimant's entering the service, and the time and manner of his leaving the same, as well as the regiment, company, and line to which he belonged. The magistrate who may administer the oaths must certify to the credibility of the witnesses, and the official character and signature of the magistrate must be certified by the proper officer, under his seal of office.
[k] The notes from [a] to [i] are all equally applicable to the cases of Militia men, Volunteers and State Troops. The proof required by rule in note [j] applies to continental troops only.
[l] This traditional evidence is indispensable in militia cases.
[m] If a witness cannot be found, the declarant must state the fact.
[n] The answers to the interrogatories must all be written, and sent to the War Department, with the declaration. } *
W. L. [unclear] Ex. 6

State of Kentucky 3 rd set. Mason County
On this 7 th day of April, 1834, personally appeared in open court, before the worshipful, the county court of Mason, now sitting Thomas Faris, a resident of Mason County, State of Kentucky, aged 77 years the 15 th day of last September, who being first duly sworn according to law, doth on his oath, make the following amendatory declaration , in order to obtain the benefit of the act of Congress passed June 7, 1832. That he entered the ser- vice of the United States under the following of- ficers, and served as herein after named:- He volunteered his services in the Spring of the year 1781 under Capt. Thomas Huggins, in Pittsylvania County, Virginia. He be- longed to Col. Morgan's Rifle Regiment. He was marched to Williamsburg, Peters- burgh, crossed York river and was stationed at Old Limes Town, where he done duty, and where the army lay in wait for Lord Cornwallis and his army, till he was discharged in September 1781, he thinks. He well recollects Cornwallis surrendered to Gen Washington at Little York in a very few weeks af- ter his discharge. He says at the time he made his original declaration he could not recollect the circumstances of the time and the names of his officers with suffi- cient accuracy to place them in his declara- tion. That by his reflection and conversing with

the old Soldiers he is now enabled to recollect what he has detailed. He was then well satisfied that he served three months or upward as above stated, but was unable to give the particulars, and of course left it out of his declaration. He was born in the year 1756 in September, - He has a record of his age at his marriage. He was living in Pittsburgh county Va when called into the service. He removed to the state of Kentucky in 1788, where he now lives. He volunteered his services. He has already stated the names of all the officers he can recollect, as well as all the circumstances of this tour. He would, however, state that he is entirely unable to write or read a word. He received a discharge for this tour, but has lost it. He thinks it was signed by Col. Morgan. He is known in his present neighborhood to Yelverton Payton, and Robert Beane Sides, who can testify as to his character for veracity, and their belief of his services. He hereby relinquishes every claim whatever to a pension or an annuity except the one he is now drawing, and declares that his name is not on the pension roll of the agency of any state except the agency of Kentucky, under treaty of June 7, 1832. Sworn and subscribed to the day and year aforesaid
Thomas Farris

We, Peter Tribble a clergyman residing in the county of Madison, and Elverson Pay- ton and Robert Burnside , residents of the same, hereby certify, hereby certify that we are well acquainted with Thomas Harris , who has subscribed and sworn to the above declaration; that we believe him to be 77 years of age; that he is respected and believ- ed in the neighborhood where he resides, to have been a soldier of the revolution, and that we concur in that opinion. Sworn and subscribed the day and year aforesaid,
Elverson Payton Elverson Payton Robert Burnside
And the said Court do hereby declare their opinion, after the investigation of the mat- ter, and after putting the interrogatories prescribed by the War Department, that the above named applicant was a revolu- tionary soldier, and served as he states. And the Court further certifies, that it appears to them that Peter Tribble who has signed the preceding certificate, is a clergyman, residing in the county of Madison, and that Elverson Payton and Robert Burnside , who have also signed the same, are residents of the same, and are credible persons, and that all their statements are entitled to full credit. James Dymott E. Burk C. Fox

Kentucky Madison County ss.
I David Irvine Clerk of the Court of Madison County, do hereby certify that the foregoing contains the original administrative proceedings of the said Court in the matter of the application of Thomas Harris for a pension
In testimony whereof I have hereunto set my hand and seal of office this 14 th day of April 1834
David Irvine Clerk

DEPARTMENT OF THE INTERIOR,
BUREAU OF PENSIONS.
Washington, D. C., _____, 19____
In reply to your request of _____, received _____ for a statement of the military history of Thomas Farris a soldier of the REVOLUTIONARY WAR, you will find below the desired information as contained in his (or his widow's) application for pension on file in this Bureau.
   DATES OF ENLISTMENT OR APPOINTMENT. LENGTH OF SERVICE. RANK. OFFICERS UNDER WHOM SERVICE WAS RENDERED. STATE.   CAPTAIN. COLONEL.     1778 9 mos Pat. Then went down the Ohio River with Col. Clark and surprised Kaskaskia. Thomas Dillard ✓ Va.   Spring 1781 Sept 1781 Thomas Huggins Morgan Rifle Regt.  
Battles engaged in, See above
Residence of soldier at enlistment, Pittsylvania Co. Va.
Date of application for pension, May 27, 1833. His ch. at
Residence at date of application, Madison County Ky.
Age at date of application, born Sept. 15, 1756 in Pittsylvania Co. Va.
Remarks:
There is no data on file as to his family
Respectfully,
Commissioner.

30 40 24 Rev INVALID.
File No. 30,407
Thomas Fries
Rev Rev Mr
Act: June 7 th 82 4
Index:—Vol. 2 , Page 131
[Arrangement of 1870.]
1921 Sept. 14 Hist. to Mrs. Chas. S. Passmore. 1928-July 26- P.E. Pinnick advised cost of photos in corres. in cl. of Elijah Faries, H. 7239 mmnt 28-Aug 22- Photos to P.E. Pinnick. See corres. in cl. of Elijah Faries, H. 7239. H.F.

Hy att.
June 8.

Dear Sir Silver Creek Post office June 1st 1835
by the request of Col. J. S. Smith I have to draw the applications of Thoms. Harris and Robt. Burnside my neighbours I forward them on to your office for re-examination it was with difficulty I could come at dates from them as they are both illiterate I inform but they are men of premium integrity I well known & believed in their neighbourhood as men that has done much service the Rev d Mr. Tible & Mr. Payton who has certified for both of them are both very aged men & I believe that Mag s W. T. Barry will be called them as men of Excellent Standing please in further send your communications for them to this office Your friend J. O. T. S.
Alp s Miller Post Master Silver Creek Mad n County Va.

Not sent
Butte Mont Aug 13-1921
Pension Bureau Wash. D.C.
Dear Sirs -
Can you give me data concerning Thomas Farris (Furris) who served in Capt Dillard's Co - also Capt Montgomery's Co in Vir - also John Farris in S. Tarrent's Co  Henry Co Vir - in Rev. war - Also - the or my data county from which Achilles Perrin (Perin) served - 4 Bros Josephus (Joseph)  George , Abner , & Achilles came to America just before the Rev - & all served Achilles is the one in particular I want to trace but if I can find out the county they enlisted from I might be able thru county historys to trace further -
Yours
Mr Chas S. Passmore 717 W Granite St Butte Mont -

All inquiries regarding this job should refer to Requisition No. 25833
Requisition for Duplicating, Addressograph, Photostat, and Blue Print Work.
DEPARTMENT OF THE INTERIOR WASHINGTON
CHIEF, Division of Publications, Room G 137.
August 15, 1928 ..... 192
Please furnish work specified below.
Bureau ordering PENSION
Deliver to Room No. 5033
(ALL COPY FOR DUPLICATING WORK SHOULD BE PLAIN AND WRITTEN IN ELITE TYPE, EXACTLY LINE FOR LINE AS IT IS TO APPEAR ON FINISHED JOB.)
Title and description of job photo static copies of 8 pages from Rev. War pension claim of Thomas Faris, S. 30407
No. of copies 1 of each Shall form be kept standing? ..... days
For further information see M.W.H. Finch  5033  541 Room No. Phone No.
Approved: [Signature: A. S. Williams]  [Signature: Margaret M. Finch] Chief Clerk of Bureau. Chief of Branch or Division
NOTE: No order made "SPECIAL" unless statement showing necessity is written below and approved by Chief Clerk of Bureau ordering .....
CHECK WORK DESIRED
Duplicate
Multigraph ..... single or double space? ..... Facsimile signature? .....
Mimeograph ..... one side or both sides? ..... Facsimile signature? .....
Folding once or twice?
Assembling ..... Once? Twice? Side? End?
Stapling
Electric typewriter ..... Fill in addresses? ..... Dated? .....
Addressograph from lists .....
  Envelopes, size ..... ..... Cards, size ..... .....   Proof list ..... ..... Pay rolls ..... .....   Labels (submit sample) ..... ..... Corrections ..... .....   Fill in letters ..... ..... Tabulation sheets ..... ..... 
Photostat Size actual Official use? ..... Repay? yes $ 1.20 Blue Print Size ..... Official use? ..... Repay? ..... $ .....
Remarks .....
See receipt in Elizah Faris, T. 7239

NOTE: Routine changes of addresses may be made on this blank without formal reference through or initialing of chiefs of branches or chief clerks of bureaus.
.....192 . (Date)
INDICATE BY AN X IN PROPER SQUARE ACTION TO BE TAKEN.
 Make new addressograph plate  Change present addressograph plate  Destroy present addressograph plate  } On list.....
as follows:
Now reads            1 ..... 2 ..... 3 ..... 4 ..... 5 .....
Should read          1 ..... 2 ..... 3 ..... 4 ..... 5 .....
FOR USE OF DUPLICATING AND ADDRESSING SECTION
ADDRESSOGRAPH
The above change was made ..... 192 .
Operator .....
MULTIGRAPH
Operator ..... Date ..... Type set by ..... Date .....
Remarks: .....
MIMEOGRAPH
Operator ..... Date ..... Cut by .....
Remarks: .....